Robert Harrison

@IMResidencyDuke @DukeIMChiefs @DukePulmFellows @Duke_GI_ @DukeFellows @dukegme @dukemedicine @AimeeZaas @DukeHospital @DukeRegional @vadurham Fantastic group! Congratulations!

Congrats to our newly named @DukeIMChiefs for ‘24-‘25 - we can’t wait to have you back with us!!! mailchi.mp/duke/chet-pate…

@ElliottMillerMD @andishahu @seanvandiepen @carlosalviar @WApplefeld @PennyRampersad @TariqAliMD My approach with dex is that if you think the patient could be started on a low dose of beta blocker, ie recovered from cardiogenic shock or other CV indication for intubation, then they are probably stable enough to trial dex. What is your approach?

A nice review on liberation from IMV in the CICU by star fellow @andishahu and all-star cast of co-authors, including @seanvandiepen @carlosalviar @WApplefeld @PennyRampersad @TariqAliMD #adrianaluk jacc.org/doi/10.1016/j.…

@ElliottMillerMD @andishahu @seanvandiepen @carlosalviar @WApplefeld @PennyRampersad @TariqAliMD Excellent review! I am definitely going to add this to our CICU core teaching materials. I am curious about the relatively soft caution on dex as a sedative. I avoid it in cardiogenic shock which was only a small % of subjects in the referenced study.

What an all star cast of authors!

@Chris_Grosse Monday night all you can eat Italian pastries

Using only a restaurant, tell us where you went to college.

Do you know what to do in an emergency? This 2-minute video demonstrates Hands-Only CPR and using an AED. There are two simple steps that can save a life: 1. Call 9-1-1, ask someone to get an AED, if available. 2. Push hard and fast in the center of the chest.

@SudarRajagopal I can’t imagine the challenges of dealing with cardiac arrest on a football field. How long did it take to check a pulse and to get the pads off to do cpr?

Prayers for Damar Hamlin - looks like a cardiac arrest on Monday Night Football...

@kylegeurink @SudarRajagopal Best thing in that situation is high quality cpr and defibrillation. I think that is compromised while attempting transport.

@SudarRajagopal @RobHarrisonMD I wonder why they didn't transport sooner? Seems like a very long time they left him on the field. Especially with a very young patient who would be an e-cpr candidate

@BuffaloBills @HamlinIsland Commotio cordis? Hit was on the chest. This ravens fan and cardiologist hopes he is OK

Bills Mafia is with you, @HamlinIsland. ❤️💙

Impella removed and he’s making a good recovery. Slight airway issue along the way.

The Duke CICU offers the full spectrum of care. Sometimes an impella is necessary after being treated for intractable arrhythmias

@akhadilkarMD Make sure you familiarize yourself on driving restrictions as well. In my experience, counseling on this is often forgotten when seeing patients with syncope in clinic or discharging them from the hospital or ER.

As a Cardiology fellow, we get a lot of consults for syncope. Here is my approach/work-up for this consult. *Not to use as medical advice, just tips, and always discuss with your fellow/attending* -thread 🧵- #MedTwitter #MedEd #Cardiotwitter #IMG

@mdlizs I used to think it rude to type while patient talking. But I think it is less weird than having a scribe in the room. And with time I’ve gotten better at typing without staring at the screen and being able to really focus attention on the patient.

Got any tips and tricks for getting notes done IN CLINIC? I can’t keep bringing work home. #MedTwitter

@mdlizs I focus time/energy on the A/P; use copy forward for return pt; start notes for morning clinic at end of work day prior; start notes for afternoon session during lunch. Type in room while patient talking. Sign before seeing next patient. Rinse and repeat.

@iShadrinMDPhD @CassandraKisby Well done! I don’t see any RA or RV collapse so probably going to be OK.

This Halloween I was about to make a heart pumpkin but @CassandraKisby inspired me to make it more frightening. I present to you a Micra on the RV free wall leading to perforation and effusion. Scary! #EPeeps #Halloween2022

@JacobNiall @RexChapman Johnny Cash covering Hurt, Nine Inch Nails. Haunting vocals.

Up in the middle of the night waiting to get some work done and was thinking… what is the best cover song of all times???? Fine Young Cannibals- Suspicious Minds (Elvis)? Thoughts? @RexChapman

@SVRaoMD My hat feels the same way

Skillet is having a rough morning…

@jregan2012 @dnarcisseMD @WApplefeld @ShahzebKhanMD @DukeCardFellows You all provided outstanding care! Well done!

So grateful to have worked with these outstanding doctors for the last month in the Duke CICU! @dnarcisseMD @WApplefeld @ShahzebKhanMD 🍞🍞🍞@DukeCardFellows

@YaleACHD @sgolds13 @DrTonyPastor @robeldermd @YNHH @YaleMed Y’all are so fortunate to have @sgolds13 in your program!

Exciting to finally have our newest #ACHD faculty @sgolds13 @DrTonyPastor join @robeldermd! Our program is growing to help take care of this amazing community @YNHH @YaleMed 🫀🫶